Heather Combs , PNP-PC
Nurse Practitioner - Pediatrics • Madera, CA
9300 Valley Childrens Pl
Madera, CA 936368761
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
9300 Valley Childrens Pl
Madera, CA 936368761
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner - Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $124.99 in 2024
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2024.
NPI first issued
2016
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Madera and California
34 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Madera, CA (1,582 in California).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Madera
2.9% of these 34 clinicians have the CMS telehealth indicator.
2.9% of these 34 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $29.99 in 2021 to $124.99 in 2024.
- 2021: $29.99
- 2022: $203.10
- 2023: $79.99
- 2024: $124.99
Sources: CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $124.99.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
— | General | $124.99 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363LP0200X
NUCC Taxonomy Code: 363LP0200X
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Pediatrics - Sleep Medicine
Doctor of Osteopathic Medicine (D.O.)
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Primary Care
Nurse Practitioner
Nurse Practitioner - Family
Family Nurse Practitioner
Anesthesiology
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated October 31, 2016.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Nurse Practitioner - Pediatrics Specialists in Madera
Healthcare providers in MaderaMailing Address
1740 E Shepherd Ave Apt 203
Fresno, CA 937205612